the case.
A 14 year old boy is bought to ED with a 4 day history of fevers. His parents are concerned as this rampant red rash has rapidly spread across his body overnight…. [Read more…]
pulling apart cases from the ED...
the case.
A 14 year old boy is bought to ED with a 4 day history of fevers. His parents are concerned as this rampant red rash has rapidly spread across his body overnight…. [Read more…]
the case.
a 2 year old male is carried into your ED screaming. He is horribly distressed and trying to reach down to grab at his right thigh. His parents report that he was standing outside watching his older brother ride his bike. He was knocked over in the process and his right leg ‘twisted around’ in the process. [Read more…]
the case.
A mother brings her 18 month old child to your emergency department with a 24 hour history of fevers. She is now worried that her daughter has developed these little red spots.
Following on from our first knackered neonate – here are some rapid fire cases of unwell little ones… [Read more…]
the case.
You are working in a district hospital and are called to the Special-Care Nursery to assist with an unwell newborn infant.
She was born 2 hours ago at 39 + 4 weeks gestation, to a primip mother who reports a completely unremarkable pregnancy and normal antenatal investigations (including morphology scans). The child has had marked respiratory distress and hypoxia since birth… [Read more…]
The Case.
A young boy is bought to your ED with an obviously swollen painful left arm after a slip and fall…
These are his xrays…
Type III Supracondylar Fracture, with posteromedial displacement.
Supracondylar Fracture – Tell me more…
The Gartland Classification.
An approach to the Paediatric elbow X-ray…
Firstly, we should recall the ossification centres of the elbow & the helpful mneumonic “CRITOE”.
taken from *http://www.wikem.org/wiki/Elbow_X-ray_(Peds)
The Anterior Humeral Line.
taken from *http://www.radiologytutorials.com
An abnormal anterior humeral line – taken from *http://www.radiologyassistant.nl/en/p4214416a75d87
The Radiocapitellar Line.
Fat Pads.
Adapted from wikimedia.org
Baumann’s Angle.
Left is normal. Right is obviously not...
Neurovascular compromise occurs in up to 49% of all Type III injuries.
Be on the lookout for Compartment Syndrome.